Organization
JEFFREY C PITTS
Active
Other names
Ontario Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C PITTS MD (OWNER MANAGER SOLE PROPRIETOR)
(541) 889-3106
Entity
Organization
Contact information
Practice address
269 SW 19TH ST, ONTARIO, OR 97914-1972
(541) 889-3106
(541) 889-3904
Mailing address
269 SW 19TH ST, ONTARIO, OR 97914-1972
(541) 889-3106
(541) 889-3904
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13467
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008479
BS
ID
05
—
026523
—
OR
01
—
0905376
CHAMPUS
—
01
—
180001596
RR MEDICARE
—
01
—
2507
SAIF
OR
01
—
52290
BC
ID
05
—
8074625
—
ID
01
—
840399000
BC
OR
Enumeration date
11/08/2006
Last updated
10/22/2013
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